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Author
Topic: Hate This! Three Thrusts Unproteted (Read 25606 times)

please help - this has always been the most informative site so I though i would help me to return for some clarification on STIs- I am in a relationship and we tested together for STIs including HIV and we were both negative. I have recently been on a stag weekend and selfishly slept with a couple of girls during the course of the week! I feel aweful about this as a feel very strongly for my girlfriend although my actions didnt show it. What I am worried about is that I have contracted an STI - ith was three days ago and i dont seem to have any symptoms (is it too early for symptoms) - i did wear a condom on both occassions for vaginal and anal sex and it didnt break, we performed unprotected oral on eachother on both occassions and rimming took place very breifly. I understand from the past posts that there is no concern for HIV here (is this correct?)!! please can you clarify how safe condoms are for other STIs and could I catch something without knowing about it! my worry is that I may pass something on to my partner. should I test and how soon can i test for STIs? Also what STIs could i catch and where would i see any symptoms?

My question is that if i were to have an encounter with a female how could i consider a negative HIV antibody/p24 antigen Duo Test be at 28 days? also would it be considered pretty much accurate any earlier? - i understand the CDC requires testing at 13 weeks however as the GUM clinic has told me I am at low risk of two time unprotected cunnilingus and recieving a BJ i want to test for peace of mind. I had an ulcer on my lip at the time thats all.

Im willing to pay for this test if you can tell me it is accurate! Please dont base your answer on my current risk! if you can answer assuming there was a risk i would appreciate it!

further i tested for all other STDs Chlamydia, Gon, after 3 days they came back negative but they said this was too early to test and asked me to go back after three weeks - do you know anything about this ? is 3 days too early for these types of STDs?

im worried about my regular partner and passing something on to her as we now have unprotected sex (we tested together)

Some STDs can be passed by skin to skin contact. You should be discussing this with your doctor or clinic if you are experiencing any symptoms.

It's only an opinion but I would say this is all about guilt and shame and not any real risk from what you have described. For sure HIV is not an issue because you used condoms. They provide very effective protection.

At the end of the day I expect you to come out of this ok as long as you don't needlessly torture yourself to death with guilt and remorse. Neither of which are any good for your relationship.

how many days should a HIV antibody/p24 antigen Duo Test be carried out ive been told by a UK clinic that it is 98.9%+ accurate at 28 days. But other people have advised me that the p24 antigen test should only be taken 2-3 weeks after for it to be effective. 28days is obviously 4weeks! which is correct?

im aware that i probably dont need to test due to the kind people on this site and if i didnt have my partner to worry about i would probably forget the whole thing! as i do have my partner to worry about i want to make sure (piece of mind i suppose) and the HIV antibody/p24 antigen Duo Test will do that for me! please can you answer my question as i am most likely to go ahead and test. thing is i wont pay £110 if they will only perform this test at 28 days as they are stating yet it is supposed to be performed between 2 to 3 weeks

P24 needs to be done within 3 weeks of possible infection. The antibody test is done 13 weeks or longer after possible exposure. Yes, at this time it would be a waste of money to take a DUO test when you can take an antibody test at 13 weeks and be done with it.

i appreciate that using condoms meant i didnt have a HIV risk however, I performed oral sex on a woman and i remember havin mouth ulcers at the time does this pose a risk?

in what circumstance would cunnilingus be viewed as posing a risk?

Im also concerned as at 10 days i came down with a flu like illness and my regular partner also then proceded to have it too - im scared ive passed something on to her!! i have read that 10 days is too early for HIV related symptoms - how true is this?

ive decided to pay for a HIV DUO Test (p24 antigen / antibody test) at 28 days as the private clinic state this is 98% accurate at this point - im aware my risk is low but want to be sure. I asked the doctor about this test as i know the guidelines are 12 weeks here in the UK - he said that these tests are slowly being introduced in the NHS now and at 28days are as accurate if not more accurate that the antibody test at 12 weeks - he said the reason that they are not yet being used in all GUM clinics is because there is so much red tape in the NHS and in order to change any procedure it can take years of investigations into cost etc. he did say that some of the london hospitals are already using it now though!! would you agree that this test is so accurate at 28 days?

The HIV antibody screening tests are the most reliable tools to diagnose HIV infection in a person. There is not another screening test that, when used alone, beats the sensitivity and specificity of the EIA and Western Blot screening sequence.

The p24 antigen test detects the presence of a protein in HIV (unlike the antibody test which measures the body's response to HIV). P24 is referred to as an antigen because it provokes the body's immune response, causing it to generate antibodies. Since HIV is present in the body in very high levels before antibodies are produced, the p24 test may be useful in detecting infection when antibody tests cannot. For this reason, p24 tests are useful for screening the blood supply and for diagnosing acute infection. P24 antigen tests probably detect infection only a week earlier than the antibody tests. A positive result on a p24 antigen test is 99.9% accurate; false positives are highly unlikely.

Here's the catch: since the p24 test relies on a certain level of virus in the bloodstream, it is possible that someone may be infected but may not actually have a positive p24 test. Also, when a person's immune system produces antibodies, the p24 antigen test has a much more difficult time detecting infection (due to something called antibody-antigen complexing). Antibody levels, once established, remain persistent throughout infection. One study demonstrated that the p24 test failed at detecting infection in 75% of infected blood donors. It is not a very sensitive test.

So, a positive p24 antigen result is very reliable (this should always be confirmed at some point with an antibody test and an accurate risk history). A negative p24 antigen needs to be interpreted carefully.

andy, ann could you possibly give me your views on this test also. If its not accurate then why do they do it and why is it allowed? how can the doctor claim its 98% accurate www.freedomhealth.com is the source. it is looking for the p24 antigen and also antibodies so if one isnt there then the other should be right (if infected of course) please can you add your views!

Yeah, ok, maybe if you sliced her genitals with a knife and sliced your lips with a knife and immediately went down on her, sure. But how likely are you to do that? I certainly hope this isn't in your sexual repertoire.

The accuracy of the p24 test has more to do with a positive result being accurate. Negative results on the p24 have to be confirmed. A positive result also must be confirmed with the standard ELISA/WB sequence, but is likely to be correct. Any negative result on any test is not conclusive until the three month point.

Where you are concerned, as long as you test three months after your last incident of unprotected intercourse, your result will be conclusive.

You can shell out money to this Freedom Health place and make them more profits if you like, but you don't need testing over these incidents.

You might want to consider talking to a mental health care professional about your hiv anxiety and why you feel you should be punished with it. We can't help you with that here.

"...health will finally be seen not as a blessing to be wished for, but as a human right to be fought for." Kofi Annan

Nymphomaniac: a woman as obsessed with sex as an average man. Mignon McLaughlin

HIV is certainly character-building. It's made me see all of the shallow things we cling to, like ego and vanity. Of course, I'd rather have a few more T-cells and a little less character. Randy Shilts

I went back to the doctor at freedom health in london and his response was as follows,

"No one is saying that the DUO replaces the antibody test. No-one uses theWestern Blot in the UK except for research or confirmation of an ambivalentresult.

The DUO test has an accuracy of 99.89% at 28 days plus. Your friend hasmisunderstood that the test does not use p24 alone - but a mix of P24 ANDANTIBODIES. This gives an accuracy of 99.89% - independently verified andresearched.

It ultimately depends on how much certainty you like in your life 99.89% =DUO or 99.99% = (Western Blot very unlikely in UK routinely) or Elisa at 90days."

If he is in fact right about this test at 28 days plus, im willing to pay for it as it will relieve my HIV anxieties and allow me to move on with my life without disrupting my current relationship as these anxieties do have a knock on effect there too. I have booked an appointment with a mental health professional as you recommended also.

Im aware that you dont think i need testing and these exposures are the only ones since my last test, but my mental state wont allow me to move on.

bottom line is i want to take this duo test and move forward but if its just a big lie that it is 98% accurate at 28 days plus its not going to relieve my anxieties at all

Your doctor needs to be updated. A positive on a P24, plus positive on an antibody test still needs to be confirmed by a Western Blot or IFR test. A negative confirmative test is 12 weeks post exposure. Period...

Any test that includes an antibody test, such as the Duo, will be conclusive for you as long as it is done three months past the last time you had unprotected intercourse.

When people talk about a test being some percentage accurate, they are generally speaking of a positive result, as I mentioned when we talked about the p24. A negative 28 day result with the Duo (when there has been a real risk) must still be confirmed at the three month point.

Personally, I have much more confidence in a negative result at six weeks than I do in a negative at four weeks. Most people who have actually been infected will test positive sometime between three and six weeks.

I live in the UK and I can tell you that a positive ELISA must be confirmed with a positive WB. Mine was and every positive person I know in the UK has had their diagnosis confirmed with a WB. It's standard practice.

And I'd like to remind you again that cunnilingus is not a risk for hiv infection.

"...health will finally be seen not as a blessing to be wished for, but as a human right to be fought for." Kofi Annan

Nymphomaniac: a woman as obsessed with sex as an average man. Mignon McLaughlin

HIV is certainly character-building. It's made me see all of the shallow things we cling to, like ego and vanity. Of course, I'd rather have a few more T-cells and a little less character. Randy Shilts

im going for a test just for piece of mind tomorrow - at the weekend i had some coke out of nature reallly - im aware you dont think i need to test but assuming i did need to test would cocaine two days prior affect the accuracy of test results??

I recently visited Amsterdam and whilst I took you advice and stayed clear of activities that would trigger my HIV anxieties, some of my friends were happy to go ahead and engage in activities with the sex workers.

whilst i was waiting outside one of the windows as they are in amsterdam for a friend to come out the prostiute in the next window seemed to want me to move on! i didnt however and satyed and she came out of the window and threw a cup of something in my face!

god knows what it was and im worried if due to her angry reaction could it have been anything to cause me concern for HIV! even if it was infectious fluids and they got into my eyes like it did could it have infected me?

sounds stupid and know i have a problem but just want to be clear i dont need to worry - i felt id done everything right to avoid worrying about HIV again and then this happened just cant seem to get rid of it.

I have merged your old threads here. The rule of the site is to keep all of your entries in the same thread so please don't start anymore new ones.

Once again you are concerned about a what if situation which is about fears and nothing based in HIV science reality. It doesn't matter what the woman tossed out the window on to you. You don't get HIV in this manner. Maybe, MAYBE if there was some freshly poured HIV+ positive blood from a wound she just created and it immediately went into your eye there would be some theoretical possibility of risk. Sound likely? No, I didn't think so. And I said THEORETICAL as contrasted with ACTUAL risk.

You need to do some work with a counselor or therapist about sex, sexuality and HIV. We can't help you with that here.

This is another non-risk situation which is only really about what's going on inside your head. Get some professional help of the sort we cannot provide you with here.

Can you possibly clear something for me - i was at a party over the weekend and participated in snorting coke through a rolled up note, a guy at the party had been bleeding from his nose and there was blood on the bill after he had used it.

if I used the bill to snort coke after him - not immediately but with a 3-5 min period, would this be a risk for HIV transmission?

I was under the impression that there would be no way HIV would survive for more than a few seconds outside the body.. can you clarify for me. Im not sure if i had any cuts in my nose and I wasnt bleeding from the nose at all.. ive got myself a little paniced over this situation

No, this is not a risk for hiv infection. However, it is a possible risk for hep C. This website does not deal with hep C - you'll have to see your doctor about that. You can test for hep C at the three month point if you wish.

"...health will finally be seen not as a blessing to be wished for, but as a human right to be fought for." Kofi Annan

Nymphomaniac: a woman as obsessed with sex as an average man. Mignon McLaughlin

HIV is certainly character-building. It's made me see all of the shallow things we cling to, like ego and vanity. Of course, I'd rather have a few more T-cells and a little less character. Randy Shilts